# ROBERT D KILGORE, D.M.D., P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942494364
- **Authorized official:** ROBERT D KILGORE D.M.D (DENTIST)
- **Authorized official phone:** (276) 328-5291

## Contact information

- **Practice address:** 106 WATER ST, WISE, VA 24293
- **Practice address phone:** (276) 328-5291
- **Mailing address:** PO BOX 3937, WISE, VA 24293-3937
- **Mailing address phone:** (276) 328-5291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401006902 | VA | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 08/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 281624 | ANTHEM | VA |